HOPE Lutheran Faith Adventures and Confirmation Registration 2018-19
Parents, please fill out the following form and submit.

We ask parents to:
- keep this ministry in their prayers
- regularly check e-mail for updates
- encourage and support youth in full participation of both worship services and youth activities
- contribute toward snack money $15 per family per semester (Faith Adventures only)

Link to Wednesday Education Program Flyer:
https://goo.gl/k7gs7f

Child's Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
School *
Your answer
Grade *
Your answer
Youth phone and / or e-mail (if applicable)
Your answer
Mother's Name *
Your answer
Cell Phone *
Your answer
E-mail *
Your answer
Address *
Your answer
Father's Name *
Your answer
Cell Phone *
Your answer
E-Mail *
Your answer
Address (if different)
Your answer
Which phone or e-mail is best for Wednesdays? *
Your answer
Emergency Contact Name and Phone *
Your answer
Please share any information about your child that will help leaders provide safe, positive experience for your child:
Your answer
Transportation Needs
Please contact the church office at (715)425-9750 or hopelutheranoffice.rf@gmail.com if you have transportation needs for your child.
Program Authorization
I give my child permission to participate in the Education Program at HOPE Lutheran Church including any local travel to and from events. I authorize the adult leaders to obtain emergency medical assistance for my child if necessary with the understanding that we as parents and / or the emergency contact will be informed as soon as possible. I agree to be liable for all costs incurred in connection with medical services needed and to not hold the staff or volunteers of HOPE Lutheran Church liable for any injury that my child may incur while participating in the program.
By entering your initials in the box below, you are effectively providing your signature for program authorization. *
Your answer
Photo Permission
I agree that photos of my child may be used for the church website, newsletters, brochures, etc.
By entering your initials in the box below, you are effectively providing your signature for photo permission. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms